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BACKGROUND: Two forms of the lower esophageal sphincter functional pathology (LESFP) are defined: cardio spasm and achalasia. This pathology may progress with the nearly normal, increased or decreased esophagus motility. Analyzing our cases we found that clinical features correlate well with the motility of esophagus. Therefore we modified the academician B.V. Petrovsky's classification which is accepted the Eastern Europe and CIS countries and is based on the oesophageal dilation degree. This point is important for the selection of treatment methods and prognosis. PURPOSE of our research was to get the indications of treatment methods more precise and to improve the results of treatment of LESFP. MATERIALS AND METHODS: Analyzing clinical and x-ray findings we got assured that cardiospasm properly could be divided in two groups: "A"-when the disease is associated with the normal or nearly normal esophageal motility and "B"-when the motility is decreased. Achalasia always progresses with the decreased esophageal motility. We determine it as cardiospasm "C". RESULTS: Out of 922 patients with LESFP cardiospasm "A" was diagnosed in 58% of cases, "B" - 15% and achalasia and megaesophagus were diagnosed in 27% of patients (cardiospasm "C"). CONCLUSION: The addition of esophageal functional condition to the academician BV Petrovsky's classification makes it more complete and informative, lets possible to define a clinical form of cardiospasm. It's been getting possible to refine indications of cardiadilation and surgery.
Keywords:
cardiospasm, cardia cancer
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